Organization Active NPI

Good Life Inc

Doing business as Good Life Family Health

  • Chiropractor
  • Anthem, AZ
National Provider Identifier
1417156415
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ 7399 Issued in AZ
Legal business name
GOOD LIFE INC
Doing business as
Good Life Family Health
Practice address
3624 W Anthem Way
Suite C-110
Anthem, AZ 85086-0440
Phone
(623) 551-9950
Fax
(623) 551-2454
NPI assigned
Jul 11, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence Larragoite, D.C.
Title
Vice-President
Phone
(623) 551-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X AZ 7399 AZ Primary

Addresses

Primary practice location

3624 W Anthem Way
Suite C-110
Anthem, AZ 85086-0440

Mailing address

3624 W Anthem Way
Suite C-110
Anthem, AZ 85086-0440

Other names 1

  • Good Life Family Health Doing business as

National Provider Directory

National Provider Directory

Locations

3624 W Anthem Way
Ste C110
Anthem, AZ 85086
Phone (623) 551-9950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1417156415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W ANTHEM WAY",
            "address_2": "SUITE C-110",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W ANTHEM WAY",
            "address_2": "SUITE C-110",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860440",
            "telephone_number": "623-551-9950",
            "fax_number": "623-551-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "LARRAGOITE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "623-551-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ 7399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Life Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.